I was on 60 mg of topomax and taking zomig about twice a week.Now the zomig episodes tend to run into days at a time.Don't know if they are not working anymore.My dr says I must increase my topomax so I am now on 75 mg.So far no change.Wonder if I am becoming immune to zomig which used to work so well.I have had migraines for about 15 years-in my 50's now.Not easy.can't even watch a movie without getting a migraine.THe Zomig side effects make me feel bad as well so I need to try reduce taking them.Think I must up my topomax furthur but if that doesn't work I don't know.Botox didn't help much!
Going from 60-75 did nothing for me either, but I just went up to 100 about
two weeks ago. It's so much better!!! Haven't taken a Zomig since. I highly recommend giving the higher dose of Topamax a try.